Well, Etymotic has done something no other IEM has done in my case (getting custom tips). I went to the Audiologist today and had professional impressions made of my ears and they are shipping those off to ACS. $35 was a special because of a deal they have with ACS, now I am waiting for ACS to contact me with how much I will owe them for shipping plus the tips. I am expecting another $150 potentially but I like the sound of these enough I think the extra cost for the tips will be worth it. Then I just need to resist the urge to go "ALL IN" on a pair of full custom shell IEM's. I think though I will be able to resist that urge as the ACS tips are silicone based which I think may be better for me as compared to hard acrylic shells.
BTW I have since getting my pair of Ety's sold 4 pair to friends LOL. Two head-fi members, and two coworkers who fell in love with my pair when I loaned them out for an afternoon.